文章编号:i000-677X(2010)07-0071-10
体育科学 2010年(第30卷)第7期
CHlNA SPORT SCIENCE VoL 30,No.7,71-80,2010.
试论自行车,铁人三项等 赛事医疗急救和转运模式
Discussion
on
the Patterns of
EMST about
Cycling and Triathlon Competition 李笃志,王宣庆 LI Du—zhi,WANG
Xuan—qing
摘要:通过总结分析三类高危体育赛事医疗急救和转运服务及急性伤病的案例资料,探索 和研究行之有效的赛事医疗服务模式.应用实证研究和理论分析相结合的方法,回顾性地 对1995年8月～2009年10月22场次自行车,铁人三项,摩托车赛事医疗急救和转运服务 的思想理念,组织管理及赛事中突发的368例急性伤病的现场诊断救治进行了总结分析. 赛事涉及国内国际,室内室外,陆地水中,高原平原,炎热寒冷,潮湿干旱,人体器械,耐力竞 速,对抗性非对抗性,超长距离极短距离等因素,由政府,协会,企业等举办.急性伤病包括 内科急症lo类144例,外科急症7类224例;总转运率19.02%,总入院率14.40%,实现零 死亡率和现场救治归队率80.98%.形成了"超前预防,安全高效,和谐顺畅"思想理念模 式;"规范化,科学化和国际化"组织管理模式:遵循国际惯例政策,制定个性化预案流程, "场(馆)运行团队"下的医疗团队"一盘棋","三人急救单元"模式,针对性培训演练,"医疗 代表"模式;"标准化和专业化"现场急救和转运模式:遵循运动医学医疗服务道德准则和急 救技术标准规范等,以"先救命,后治病"为主的评估诊断,实施救治,稳定病情的现场急救 总则,各类急性伤病的现场急救和转运模式,院前创伤生命支持流程.为相关赛事医疗服务 确立了切实可行的模式.促使了针对生命复杂体和具有"突发性,时效性,风险性,灵活性和 实用性"的赛事医疗服务更加注重超前预防和运行中的简捷顺畅,规范精确,安全高效.这 些模式成为了后续服务实践的基础. 关键词:自行车;铁人三项;医疗急救和转运;模式
Abstract:Purpose:To summarize
(EMsr)about three highly dangerous sport games,and (ATS),all attempts
and analyze emergency medical services and transportation cases of acute trauma and sickness
at patterns of effective games medical services are tO provide reference and better service for similar games in the future.Method:By combining empirical rescarch and
theories analysis.the thought and tot)from 8.1995
tO
management
of 22
games EMST(Cycling,Triathlon,Mo-
10,2009,and the diagnosis and treatment of 368 cases(ATs of FOP)
have been summarized and analyzed in retrospect.With overail recollection and case study,nor- malized.scientized,internationalized,standardized and specialized ways have been explored.Re- suit:The games were involved in the factors:internal and internationsl,indoor and outdoor, land and water.highland and lowland,hot and cold,wet and dry,body and apparatus,endur—
ance
and
high—speed,opposing and non—opposing,super—long and extra—short distance,govern-

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